Active NPI
Ralph Edward Burdick, D.O.
- General Practice Physician
- Delaware City, DE
National Provider Identifier
1033225321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C20001890
- Practice address
- 126 Clinton St
Delaware City, DE 19706-7706 - Phone
- (302) 834-3600
- Fax
- (302) 834-9473
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110622000370 | DE | Practitioner - General Practice | 2062690084 | Practice locations: Delaware City, DE |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C20001890 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
126 Clinton St
Delaware City, DE 19706-7706
Mailing address
PO Box 300
Delaware City, DE 19706-0300
Phone (302) 834-3600
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000156703 | Medicaid | DE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2010.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1033225321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300",
"city": "DELAWARE CITY",
"state": "DE",
"postal_code": "197060300",
"telephone_number": "302-834-3600",
"fax_number": "302-834-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 CLINTON ST",
"city": "DELAWARE CITY",
"state": "DE",
"postal_code": "197067706",
"telephone_number": "302-834-3600",
"fax_number": "302-834-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "RALPH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C20001890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000156703",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delaware City, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.